Central Todd County Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

328579 Issued in MN

Legal business name

CENTRAL TODD COUNTY CARE CENTER, INC.

Practice address

406 Highway 71 E
Clarissa, MN 56440-2000

Phone

(218) 756-3636

Fax

(218) 756-2276

NPI assigned

Nov 21, 2005

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jason E Polovick, LNHA

Title

Nursing Home Administrator

Phone

(218) 756-3636

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003899402. Details of each certification follow.

• CCN 245521 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245521

Legal name

CENTRAL TODD COUNTY CARE CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1988

Last certification

Feb 26, 2025

Beds

45

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 25, 1977 in MN

Enrollment address

406 Highway 71
Clarissa, MN 56440-2000

Nursing home name

CENTRAL TODD COUNTY CARE CENTER

Listed as

Central Todd County Care CenterCCN 245521 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Feb 1, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4539.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rene Eldidy Jr., M.D.

  • Family Medicine Physician
  • Long Prairie, MN
  • NPI 1457342032
  NPD (past)
• Julie Catherine Mayers Benson, M.D.

  • Family Medicine Physician
  • Staples, MN
  • NPI 1720078728
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Julie Catherine Mayers Benson, M.D.

  • Family Medicine Physician
  • Staples, MN
  • NPI 1720078728

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1003899402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "address_2": "406 EAST HIGHWAY 71",
            "city": "CLARISSA",
            "state": "MN",
            "postal_code": "564400038",
            "telephone_number": "218-756-3636",
            "fax_number": "218-756-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 HIGHWAY 71 E",
            "city": "CLARISSA",
            "state": "MN",
            "postal_code": "564402000",
            "telephone_number": "218-756-3636",
            "fax_number": "218-756-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TODD COUNTY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "POLOVICK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "218-756-3636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "329956",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeralyn B Bowie, DDS
• Clarissa Dental Clinic P.a.
• Clarissa Family Dental
• Dominic Gagnon, D.D.S., P.L.L.C.
• John M Romstad, D.D.S.
• Seip Drug LLC (Seip Drug #14)

• Skilled Nursing Facility in Clarissa, MN
• Providers in Clarissa, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.